091813 ppaca slide deck kulp

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SEK&Co, Strickler Agency and Capital Blue Cross Presented a Seminar on Affordable Care Act Compliance Issues for Employers and Individuals. Concerned about implementing Obamacare, the Affordable Care Act, at your business. This slide deck can help you understand some of the key issues for 2013, 2014 and beyond. This deck also includes information on penalties for non-compliance.

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091813 ppaca slide deck kulp

  1. 1. John Kulp Director of Business Development Strickler Agency Inc.
  2. 2.  Producer Consulting = Human Capital Management  Surround Yourself w. Knowledgeable Partners & Trusted Advisors  Team Approach  Back Office Support w. Extension(s) of your HR Team  Efficient Tracking Tools & Resources  Can no longer visit your health plan annually
  3. 3.  HIM Notices disbursed by 10-1-2013  Early Renewal Option(s)  Exchanges (SHOP as well) Open October 1st  SBC’s (updates as of 1-1-2014)  PCORI Fees  90 Day Max Waiting Period  Cobra Notices/Audits  OOP Max Limits/Limited Benefit Designs =$2000/$4000 Small Group Deductible Max. =$$6350/$12,7000 Large Group OOP Max.  Adjusted Community Rating (ACR)  Individual Mandate
  4. 4.  “Itemized Billing” – Small Groups -Composite vs. Non-Composite Rates  Employer Mandate/Employer Shared Responsibility  30 hrs./week max. eligibility std.  Employer Reporting to IRS & HHS (Section 6056 under IRS) & Annual EE Statements  W-2 reporting for all size groups  Transitional Re-Insurance Fees (ASO)
  5. 5.  Wellness Enhancements 1)Activity Only (participation only) 2)Outcomes Based (ex. Maintain weight) 3)Rewards to not to exceed 30% of total cost, 50% for tobacco usage control  Small Employer Tax Credit (SHOP)  Automatic Enrollment for Large Groups (200+ Full Time) in 2015  Tiered Networks & Possible Provider Fall-Out

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